Individual
MISS ALLYSHA MAE R MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
91-1422 MALIKO ST, EWA BEACH, HI 96706-1810
(808) 222-8174
Mailing address
91-1422 MALIKO ST, EWA BEACH, HI 96706-1810
(808) 222-8174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94507
HI
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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